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Blake Carlson, MD
Diagnostic Radiology Physician in St Louis Park, Minnesota
NPI 1528327954

Blake Carlson is a Diagnostic Radiology Physician based in Seattle, MN and is specialized in Diagnostic Radiology. Blake Carlson practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Blake Carlson is 1528327954 and holds a License No. MD60476887 (Minnesota).

The current practice location address for Blake Carlson is 5775 Wayzata Blvd Ste 190, St Louis Park, MN and can be reached out via phone at 952-541-1840.

Location: 5775 Wayzata Blvd Ste 190, St Louis Park, MN, 98145-5095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528327954
Provider Name
Blake Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5775 Wayzata Blvd Ste 190, St Louis Park, MN, 98145-5095
Phone Number
952-541-1840
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5775 Wayzata Blvd Ste 190
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-541-1840
Fax Number
person
Provider Business Mailing Address Details
Address
5775 Wayzata Blvd Ste 190
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-541-1840
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD60476887 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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